{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:56:39Z","timestamp":1790553399180,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To identify the factors contributing to tacker dislodgement and associated complications during sacrospinous ligament fixation (SSF) procedures.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Tertiary medical center.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n Six hundred and seventy\u2010six patients with stage \u2265\u20093 pelvic organ prolapse (POP) who underwent SSF with anchor\u2010based devices (tackers) between April 2018 and November 2023.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Of these, 657 underwent SSF with transvaginal mesh (Surelift: 463; Calistar\u2010S: 194), and 19 underwent SSF with Anchorsure alone. Patients were grouped into secure (\n n<\/jats:italic>\n \u2009=\u2009649) and dislodged tacker (\n n<\/jats:italic>\n \u2009=\u200927) groups. Standardised institutional protocols, included pre\u2010operative assessments, validated Chinese questionnaires at baseline and follow\u2010up at 6 and 12\u2009months postoperatively.\n <\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Determine the occurrence of a tacker dislodge during application and the injury caused to the patient and the operator.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Tacker dislodgement occurred in 2.2% of the cases. The dislodged group had a significantly higher BMI (\n p<\/jats:italic>\n \u2009<\u20090.001) and prevalence of hypertension (\n p<\/jats:italic>\n \u2009=\u20090.004). Complications in this group included two bladder injuries and four operator injuries, including glove tears and finger cuts (\n p<\/jats:italic>\n \u2009<\u20090.001). The secure group demonstrated significantly less blood loss than the non\u2010secure group (\n p<\/jats:italic>\n \u2009<\u20090.001). Objective and subjective cure rates were high and comparable between the groups: 95.5% and 94.4% for the secure group and 90% for the dislodged group. The quality of life and sexual function outcomes were similarly favourable.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n SSF using a tacker\u2010based device was safe and effective. Recognising the risks associated with tacker dislodgement can enhance preparedness and minimise complications for both patients and operators.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.70089","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:22:56Z","timestamp":1764048176000},"page":"716-724","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Operator and Patient Injuries From Tacker Dislodgement During Sacrospinous Ligament Fixation: A Retrospective Study"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3885-1359","authenticated-orcid":false,"given":"Tsia\u2010Shu","family":"Lo","sequence":"first","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital Linkou Medical Center Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Keelung Medical Center Keelung Taiwan"},{"name":"Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei Medical Center Taipei Taiwan"},{"name":"Chang Gung University, School of Medicine Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louiza Erika","family":"Rellora","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ospital Ng Lipa City of Lipa Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Chien","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital Linkou Medical Center Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai\u2010Leen","family":"Ro","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital Linkou Medical Center Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia\u2010Hsuan","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital Linkou Medical Center Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000297309.25091.a0"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2021.02.001"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000001134"},{"issue":"2","key":"e_1_2_11_5_1","first-page":"286","article-title":"Miya Hook Ligature Carrier for Sacrospinous Ligament Suspension","volume":"70","author":"Miyazaki F. 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